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5 Written questions

5 Matching questions

  1. procedure
  2. statement
  3. payer
  4. free-for-service
  5. health maintenance organization (HMO)
  1. a a managed health care system in which provides agree to offer heath care to the organization's members for fixed periodic payments from paln
  2. b medical treatment provided by a physician or other health care provider.
  3. c health plan that repays the policyholder for covered medical expenses
  4. d private or government organization that insures or pays for health care on the behalf of beneficiaries.
  5. e a list of all services performed for a patient, along with the charges for each service.

5 Multiple choice questions

  1. .a software program that automates many of the administrative and financial tasks required to run a madical practice
  2. a type of managed care in which a high-deductible/low-premium insurance plan is combined with a pretax saving account to cover out-of-pocket medical expenses, up to the deductible limit
  3. a type of insurance in which the carrier is responsible for both financing and the delivery of health care
  4. a list of the procedures and changes for a patient's visit
  5. a code that identifies a medical service.

5 True/False questions

  1. patient information formform that includes a patient's personal, employment, and insurance data needed to complete an insurance


  2. remittance advice (RA)treament provided by a physycian to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and provided in accordance with generally accepted standards of medical practice.


  3. codingprocess of assigning standardize codes to diagnises and procedures


  4. adjudicationadavance payments to a provider that covers each plan member's health care services for a certain period of time


  5. medical necessity.a peson who analyzes and codes patient diagnoses, procedures, and symptoms